Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAELA TERESA ETHERIDGE, ATC
Active Sole ProprietorMICHAELA TERESA ETHERIDGE, ATC is a Athletic Trainer healthcare provider located in GEORGETOWN, South Carolina. NPI 1619502390 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GEORGETOWN, SC
Registration Details
- NPI Number
- 1619502390
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2020 (6.4128971363747 yrs)
- Last Updated
- Mar 3, 2020
- License
-
2105 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2500 ANTHUAN MAYBANK STGEORGETOWN, SC, 294402520Browse SC providers · Browse ZIP 29440
- Phone
- 8434581601
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GEORGETOWN, SC
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER DEVAULT | — | 1700293081 |
| MARK EDWARD BOULDEN JR. | ATC | 1053764977 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.